Individual
BAILEY IRENE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
(704) 377-1647
(704) 358-8267
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
317017
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186337
VA
367500000X
Certified Registered Nurse Anesthetist
6172
NC
Other
Enumeration date
02/06/2019
Last updated
10/23/2023
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